Endocrine Problems and Medications
Intravenous infusion of normal saline
A client is brought to the emergency department in an unresponsive state, and a diagnosis of
hyperosmolar
hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which anticipated
primary health care provider's prescription.
It administers a small continuous dose of short duration insulin subcutaneously. The client can self-
administer an additional bolus dose from the pump before each meal.
An external insulin pump is prescribed for a client with diabetes mellitus. When the client asks the nurse
about the functioning of the pump, the nurse bases the response on which information about the pump.
Comatose state.
Deep, rapid breathing.
Elevated blood glucose level
A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department.
Which findings support this diagnosis? Select all that apply.
Shakiness.
Palpitations.
Light-headedness
The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and
ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose
needs to be taken if which symptoms develop? Select all that apply.
Convey empathy, trust, and respect toward the client.
A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the
treatment of hyperglycemia. What is the appropriate intervention to decrease the client's anxiety?
, I will notify my primary health care provider (PHCP) if my blood glucose level is higher than 250 mg/dL
(13.9 mmol/L).
The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus about
measures to take if feeling sick to prevent diabetic ketoacidosis (DKA). The nurse recognizes accurate
understanding of measures to prevent DKA when the client makes which statement?
IV fluids containing dextrose
A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose
level is 950 mg/dL (52.9 mmol/L). A continuous intravenous (IV) infusion of short-acting insulin is
initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to
240 mg/dL (13.3 mmol/L). The nurse would next prepare to administer which medication?
Polyuria
The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications.
Which sign or symptom, if frequently exhibited in the client, indicates that the client is at risk for chronic
complications of diabetes if the blood glucose
is not adequately managed?
Inadequate fluid volume
The nurse is preparing a plan of care for a client with
diabetes mellitus who has hyperglycemia. The nurse
places priority on which client problem?
I need to stop my insulin.
The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client reports a
history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24
hours. Which additional statement by the client
Intravenous infusion of normal saline
A client is brought to the emergency department in an unresponsive state, and a diagnosis of
hyperosmolar
hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which anticipated
primary health care provider's prescription.
It administers a small continuous dose of short duration insulin subcutaneously. The client can self-
administer an additional bolus dose from the pump before each meal.
An external insulin pump is prescribed for a client with diabetes mellitus. When the client asks the nurse
about the functioning of the pump, the nurse bases the response on which information about the pump.
Comatose state.
Deep, rapid breathing.
Elevated blood glucose level
A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department.
Which findings support this diagnosis? Select all that apply.
Shakiness.
Palpitations.
Light-headedness
The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and
ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose
needs to be taken if which symptoms develop? Select all that apply.
Convey empathy, trust, and respect toward the client.
A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the
treatment of hyperglycemia. What is the appropriate intervention to decrease the client's anxiety?
, I will notify my primary health care provider (PHCP) if my blood glucose level is higher than 250 mg/dL
(13.9 mmol/L).
The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus about
measures to take if feeling sick to prevent diabetic ketoacidosis (DKA). The nurse recognizes accurate
understanding of measures to prevent DKA when the client makes which statement?
IV fluids containing dextrose
A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose
level is 950 mg/dL (52.9 mmol/L). A continuous intravenous (IV) infusion of short-acting insulin is
initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to
240 mg/dL (13.3 mmol/L). The nurse would next prepare to administer which medication?
Polyuria
The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications.
Which sign or symptom, if frequently exhibited in the client, indicates that the client is at risk for chronic
complications of diabetes if the blood glucose
is not adequately managed?
Inadequate fluid volume
The nurse is preparing a plan of care for a client with
diabetes mellitus who has hyperglycemia. The nurse
places priority on which client problem?
I need to stop my insulin.
The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client reports a
history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24
hours. Which additional statement by the client
